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SINA DRUG LLC
CAH521349-00 RIVER FALLS AREA HOSPITAL
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Covered Entity Details
Entity Name
RIVER FALLS AREA HOSPITAL
Subdivision Name
Main Hospital
Type
Critical Access Hospital
340B ID
CAH521349-00
Entity Address
1629 E. DIVISION ST.
RIVER FALLS, WI 54022-1571
Medicare Provider Number
521349
Participating Start Date
8/17/2010
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
SINA DRUG LLC
Pharmacy Address
DBA ONCO360
7125 JANES AVE
STE 700
WOODRIDGE, IL 60517
Pharmacy Comments
Contract Details
Approval Date
10/7/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tony M Collins-Kwong, Director, Strategic Sourcing and Services, Pharmacy Services
(612) 262-4785
Contract Pharmacy Representative
Sina Drugs dba Onco 360 Illinois
Kimberely Beranek, Director of Pharmacy
(877) 662-6633 Ext: 2101
Signed By Date
10/7/2022
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